Key result
Cardiac presentations among pilgrims feature predominantly STEMI, with PTCA yielding ~3% in-hospital mortality.
Why the study?
The Tirumala Temple attracts millions of pilgrims annually, prompting an evaluation of the clinical spectrum and profile of CAD among pilgrims admitted with cardiac ailments to a nearby tertiary care centre.
Observational (n=267)
No
Pilgrims visiting Tirumala represent a high-risk cardiac group with high rates of diabetes, hypertension, and STEMI, underscoring the need for pre-travel cardiac evaluation and early hospitalization.
The Tirumala Temple attracts millions of pilgrims annually. This study aimed to evaluate the clinical spectrum and profile of Coronary Artery Disease (CAD) among pilgrims admitted with cardiac ailments to a tertiary care centre near Tirumala. This single-centre, retrospective observational study was conducted at a tertiary care hospital in Tirupati from June 2023 to June 2025. A total of 267 pilgrim patients admitted with cardiac complaints were included. Data on demographics, cardiovascular risk factors, diagnoses, and management strategies were analysed. The mean age was 56.7 years, with male predominance (74.5%). Diabetes (55.1%) and hypertension (52.8%) were common risk factors. Acute Coronary Syndrome was the predominant diagnosis, with STEMI (59.1%) most frequent. Single Vessel Disease was common, with LAD involvement in 79.2%. PTCA was performed in 54.1%, and in-hospital mortality was 2.9%. Pilgrims visiting Tirumala represent a high-risk cardiac group. Pre-travel cardiac evaluation and early hospitalization are essential to improve outcomes.
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Rani et al. (2026) conducted an observational in Coronary Artery Disease in pilgrim patients admitted with cardiac ailments (n=267). Pilgrimage to Tirumala Temple with acute cardiac admission was evaluated on In-hospital mortality and clinical spectrum of Coronary Artery Disease (STEMI rate). Pilgrims admitted with cardiac complaints predominantly presented with STEMI (59.1%) and LAD involvement (79.2%), undergoing PTCA in 54.1% of cases with a 2.9% in-hospital mortality rate.
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